Michael Coburn, MD, FACS

Michael Coburn, MD, FACS

Baylor College of Medicine

Houston, Texas

Michael Coburn, MD, FACS, is Professor and Russel and Mary Hugh Scott Chair in Urology at Baylor College of Medicine in Houston, Texas. His clinical and research interests focus on urologic trauma, genital and urethral reconstructive surgery, and sexual and reproductive dysfunction.

Dr. Coburn earned his medical degree at New York University in New York City, then completed an internship and residency at Baylor College of Medicine in Houston, Texas. He then pursued fellowship training at Baylor as a scholar of the American Foundation for Urologic Disease. He has served as Chief of Urology at Ben Taub Hospital and as the urology representative on the American College of Surgeons Committee on Trauma, where he served as Chair of the Advocacy and Health Policy Committee and as a member of the Executive Committee. Dr. Coburn has also served as President of the Society of Genito-Urinary Reconstructive Surgeons and is a former Chair of the Accreditation Council for Graduate Medical Education (ACGME) Residency Review Committee for Urology.

Dr. Coburn is the recipient of many awards for his educational and clinical work, including the Dean of Medical Education’s Service Award in Appreciation for Outstanding Dedication and Service to the Educational Mission in Faculty Development (Baylor College of Medicine, 2008). He is a member of numerous groups and societies, including the Board of Governors of the American College of Surgeons, the executive committee of the American College of Surgeons Committee on Trauma, and he serves as Vice-Chair of Baylor College of Medicine’s Faculty Group Practice.

Talks by Michael Coburn, MD, FACS

Management of Renal Injuries: An Evidence-Based Approach

Management of Renal Injuries: An Evidence-Based Approach

| Oct 2024

Michael Coburn, MD, FACS, delves into the complexities of kidney trauma management, emphasizing the challenges associated with limited high-level evidence and reliance on expert consensus.

In this 26-minute presentation, Coburn reflects on decades of experience in urologic trauma. Guidelines for trauma have seen revisions, with updates in 2017 and 2020 by the AUA and more forthcoming. He sees a shift towards non-surgical management in hemodynamically stable patients, reflecting a growing emphasis on observation rather than immediate intervention. He shares images illustrating different levels of renal injury.

Coburn relates that follow-up imaging is advised for high-grade injuries to monitor for hematoma expansion, potentially preventing severe complications. Angioembolization has emerged as a valuable tool for controlling bleeding in stable patients, reducing the need for nephrectomy. Specific injuries, such as pseudoaneurysms, often require immediate embolization, while surgical intervention is recommended when substantial kidney tissue is damaged.

Pediatric injuries are highlighted for their unique management needs. Coburn’s presentation concludes with a call for careful patient selection, especially in cases of severe vascular trauma or concomitant visceral injuries, where early intervention can mitigate future complications.

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Urological Emergencies in the Pregnant Patient

Urological Emergencies in the Pregnant Patient

| Dec 2023

Michael Coburn, MD, FACS, explores the complexities and management strategies of urological emergencies in pregnant patients. He highlights the anatomical and physiological alterations during pregnancy, such as increased renal blood flow and ureteral dilation, which predispose pregnant patients to specific urological emergencies.

One primary focus of the lecture is urinary tract infections (UTIs), renal colic, and obstructive uropathy and their impact on both maternal and fetal health. Dr. Coburn also delves into rare but serious conditions like urological trauma and acute urinary retention. He underscores the necessity of a multidisciplinary approach, involving obstetricians, urologists, and neonatologists, to optimize outcomes.

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Priapism: A Management Enigma

Priapism: A Management Enigma

| Nov 2020

Michael Coburn, MD, FACS, Professor and Russell and Mary Hugh Scott Chair of the Department of Urology at Baylor College of Medicine, discusses priapism and the American Urological Association’s (AUA) guidelines on managing the illness. He gives an overview of priapism, outlining differences between ischemic, non-ischemic, recurrent, primary, and secondary priapism, and discusses a range of contributing risk factors. Next, Dr. Coburn reviews study data on the different qualities of ischemic and non-ischemic priapism, explaining that the latter often is chronic and characterized by less rigidity in the penis, while ischemic priapism tends to be characterized by a fully rigid, very painful erection which contains abnormal cavernous gases. He then discusses treatment recommendations for various forms of the disease, ranging from oral medication for intracavernosal-caused priapism to complex specialty treatment for priapism related to underlying medical conditions. Dr. Coburn concludes by recommending that physicians use the AUA guidelines to create a treatment algorithm for priapism, making sure that if a deviation is made that it is well documented and explained.

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Pediatric Urologic Trauma: Kids Are Different

Pediatric Urologic Trauma: Kids Are Different

| Sep 2019

Michael Coburn, MD, FACS, clarifies the unique anatomic risk factors and physiological responses present in cases of pediatric trauma. He details the management and clinical assessment of trauma in the kidney, ureter, bladder, urethra, and genitalia in the pediatric patient, using unique case examples, and also emphasizes the importance of properly reporting suspicions of abuse.

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